Harris, Julie M

Harris, Julie M is an individual health care provider with primary practice located at 3101 Breckenridge Ln Ste 2D, Louisville KY 40220-2742. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Harris, Julie M can be contacted via phone (502) 459-8012.

Contact Information

Primary practice address
3101 Breckenridge Ln Ste 2D Louisville KY 40220-2742
Phone: (502) 459-8012
Fax: (502) 459-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7959 Kentucky
Other Service Providers / Specialist 174400000X 7959 Kentucky

Profile Details

NPI number 1154322683
LBN Legal business name Harris, Julie M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154322683 NPPES
Kentucky Other 50002288 PASSPORT
Kentucky Other 60002508 PASSPORT
Kentucky MEDICAID 64073760 PASSPORT

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